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NPI Code Detail

MEDICARE: MRS. CHRISTY SIDWELL ARNP

MEDICARE:  MRS. CHRISTY  SIDWELL  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner46261KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1016899016OTHERKSMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437306933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTY SIDWELL ARNP
Provider Business Mailing Address
First Line : 10090 E SHANNON WOODS CIR
Second Line :
City : WICHITA
State : KS
Zip : 67226-4107
Country : US
Telephone Number : 316-684-2838
Fax Number : 316-684-3326
Provider Business Practice Location Address
First Line : 10090 E SHANNON WOODS CIR
Second Line :
City : WICHITA
State : KS
Zip : 67226-4107
Country : US
Telephone Number : 316-684-2838
Fax Number : 316-684-3326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2008
Last Update Date : 08/18/2025

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Directions to “ MRS. CHRISTY SIDWELL ARNP” Practice Location

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